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Perceived Financial Satisfaction, Health Related Quality of Life and depressive Symptoms in Early Pregnancy

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Abstract

Objectives To assess the associations of perceived financial satisfaction and health-related quality of life (HRQoL) and depressive symptoms in an unselected pregnant population in early pregnancy. Methods 750 consecutive pregnant women attending the first communal ultrasound examination before gestational week 14 were invited to participate. Questionnaires assessing HRQoL (15D), depressive symptoms (Edinburgh Depression Scale, EPDS), medical, obstetric, and socioeconomic status were handed out. The participants were divided into three groups according to their satisfaction with their financial status, (unsatisfied, somewhat satisfied, and satisfied). Main outcome measures were 15D and EPDS-scores and dimensions of HRQoL. Results 325 (43,3%) questionnaires were returned. The mean 15D-score for HRQoL was 0,926 (SD 0,056). The financially unsatisfied women had lower HRQoL than women in more satisfied groups (0.906, 0.923 and 0.931, p = 0.012). The result remained significant, even after adjusting for age and education(p = 0.032). The unsatisfied women had a higher mean body mass index (BMI) (25.4, 24.4 and 23.2 kg/m2, p for linearity = 0.002), were more often smokers, (13 vs. 4 and 3%, p = 0.029), and had experienced at least one abortion (18, 14 and 7%, p = 0.017). Dimensions of depression, distress and sleep explained the differences between the groups. 27% of unsatisfied women scored EPDS ≥10 points suggesting increased risk of depression. Conclusions Financial satisfaction in early pregnancy associates with HRQoL and risk of perinatal depressive symptoms. Unsatisfied women more often have risk factors for unfavourable pregnancy outcomes which may influence the later health and wellbeing of the mother and child.

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References

  • Aittomäki, A., Martikainen, P., Laaksonen, M, Lahelma, E., & Rahkonen, O. (2010). The associations of household wealth and income with self-rated health- a study on economic advantage in middle-aged Finnish men and women. Social Science & Medicine (1982), 71(5), 1018–1026.

    Article  Google Scholar 

  • Alanne, S., Roine, R. P., Räsänen, P., Vainiola, T., & Sintonen, H. (2015). Estimating the minimum important change in the 15D scores. Quality of Life Research: An International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation, 24(3), 599–606.

    Article  Google Scholar 

  • Asch, D. A., Jerdziewski, M. K., & Christakis, N. A. (1997). Response rates to mail surveys published in medical journals. Journal of Clinical Epidemiology, 50(10), 1129–1136.

    Article  CAS  PubMed  Google Scholar 

  • Bleich, S. N., Jarlenski, M. P., Bell, C. N., & LaVeist, T. A. (2012). Health inequalities: trends, progress, and policy. Annual Review Public health, 33, 7–40.

    Article  Google Scholar 

  • Blumenshine, P., Egerter, S., Barclay, C. J., Cubbin, C., & Braveman, P. A. (2010) Socioeconomic disparities in adverse birth outcomes: a systematic review. American Journal of Preventive Medicine, 39 (3):263–272.

    Article  PubMed  Google Scholar 

  • Chang, S.-R., Chen, K.-H., Lin, M.-I., Lin, H.-H., Huang, L.-H., & Lin, W.-A. (2014). A repeated measures study of changes in health-related quality of life during pregnancy and the relationship with obstetric factors. Journal of Advanced Nursing, 70(10), 2245–2256.

    Article  PubMed  Google Scholar 

  • Cox, J. L., Holden, J. M., & Sagovsky, R. (1987). Detection of postnatal depression. Development of the 10-item Edinburgh Postnatal Depression Scale Br.J. Psychiatry, 150, 782–786.

    CAS  Google Scholar 

  • Coyle, S. B. (2009). Health-related quality of life of mothers: a review of the research. Health Care for Women International, 30(6), 484–506.

    Article  PubMed  Google Scholar 

  • Davalos, D. B., Yadon, C. A., & Tregellas, H. C. (2012). Untreated prenatal maternal depression and the potential risks to offspring: a review Arch. Womens Ment. Health, 15(1), 1–14.

    Google Scholar 

  • deGraaf, J. P., Steegers, E. A., & Bonsel, G. J. (2013). Inequalities in perinatal and maternal health. Current Opinion in Obstetrics and Gynecology, 25(2), 98–108.

    Article  Google Scholar 

  • Dunkel Schetter, C., & Tanner, L. (2012). Anxiety, depression and stress in pregnancy: implications for mothers, children, research, and practice. Current Opinion Psychiatry, 25(2), 141–148.

    Article  Google Scholar 

  • Efron, B., & Tibshirani, R. (1993) An Introduction to the Bootstrap. Chapman and Hall, New. York.

    Book  Google Scholar 

  • Fiscella, K., & Williams, D. R. (2004). Health disparities based on socioeconomic inequities: implications for urban health care. Academic medicine: Journal of the Association of American Medical Colleges, 79(12), 1139–1147.

    Article  Google Scholar 

  • Grigoriadis, S., VonderPorten, E. H., Mamisashvili, L., et al. (2013). The impact of maternal depression during pregnancy on perinatal outcomes: a systematic review and meta-analysis. J. Clin. Psychiatry, 74(4), 321–341.

    Article  Google Scholar 

  • Jones, J (1996). The effects of non-response on statistical inference. Journal of Health & Social Policy, 8(1), 49–62.

    Article  CAS  Google Scholar 

  • Kosidou, K., Dalman, C., Lundberg, M., Hallqvist, J., Isacsson, G., & Magnusson, C. (2011). Socioeconomic status and risk of psychological distress and depression in the Stockholm Public Health Cohort: a population-based study. Journal of Affective Disorders, 134(1–3), 160–167.

    Article  PubMed  Google Scholar 

  • Koskinen, S., Lundqvist, A., & Ristiluoma, N. (Eds.). (2012). Health, functional capacity and welfare in Finland in 2011 (pp. 290), Report 68/2012. Helsinki: National Institute for Health and Welfare (THL) (online publication).

  • Kozinsky, D. (2015). Validation studies of the Edinburgh Postnatal Depression Scale for the antenatal period. Journal of Affective Disorders, 176, 95–105.

    Article  Google Scholar 

  • Lacasse, A., Rey, E., Ferreira, E., Morin, C., & Bérard, A. (2008). Nausea and vomiting of pregnancy: what about quality of life? BJOG: an International Journal of Obstetrics and Gynaecology, 115(12), 1484–1493.

    Article  CAS  Google Scholar 

  • Lenox-Smith, A., Macdonald, M. T. B., Reed, C., et al. (2013) Quality of life in depressed patients in uk primary care: the finder study. Neurology and Therapy, 2(1–2):25–42.

    Article  PubMed  PubMed Central  Google Scholar 

  • Macleod, J., Smith, G. D., Heslop, P., Metcalfe, C., Carroll, D., Hart, C. et al. (2002). Psychological stress and cardiovascular disease: empirical demonstration of bias in a prospective observational study of Scottish men. BMJ (Clinical Research ed.), 324, 1247.

    Article  Google Scholar 

  • Macleod, J., Smith, G. D., Metcalfe, C., & Hart, C. (2005). Is subjective social status a more important determinant of health than objective social status? Evidence from a prospective observational study of Scottish men. Social Science & Medicine (1982), 61(9), 1916–1929.

    Article  Google Scholar 

  • Mogos, M. F., August, E. M., Salinas-Miranda, A. A., Sultan, D. H. &, Salihu, H. M.( 2013). A systematic review of quality of life measures in pregnant and postpartum mothers. Applied Research in Quality of Life, 8 (2):219–250.

  • Mortensen, L. H., Helweg-Larsen, K., & Andersen, A. M. (2011). Socioeconomic differences in perinatal health and disease. Scandinavian Journal of Public Health, 39(7 Suppl), 110–114.

    Article  PubMed  Google Scholar 

  • Ng, W., & Diener, E. (2014). What matters to the rich and poor? Subjective well-being, financial satisfaction, and postmaterial needs across the world. Journal of Personality and Social Psychology, 107(2), 326–338.

    Article  PubMed  Google Scholar 

  • Nicholson, W., Setse, R. F., Hill-Briggs, F., Cooper, L. A., Strobino, D., & Powe, N. R. (2006). Depressive symptoms and health-related quality of life in early pregnancy. Obstetrics & Gynecology, 107(4), 798–806.

    Article  Google Scholar 

  • Niedwiedz, C. L., Pell, J. P., Mitchell, R. (2015) The relationship between financial distress and life-course socioeconomic inequalities in well-being: cross-national analysis of European Welfare States. American Journal of Public Health, 105(10):2090–2098.

    Article  Google Scholar 

  • OECD (1982). The OECD list of social indicators, OECD, Paris.

    Google Scholar 

  • Orr, S., Blazer, D. G., Sherman, J. A., & Reiter, J. P. (2007). Depressive symptoms and indicators of maternal health status during pregnancy. Journal of Women´s Health, 16(4), 535–542.

    Article  Google Scholar 

  • Otchet, F., Carey, M. S, Adam, L. (1999). General health and psychological symptom status in pregnancy and the puerperium: what is normal? Obstetrics & Gynecology, 94(6), 935–941.

    CAS  Google Scholar 

  • Räisänen, S., Lehto, S. M., Nielsen, H. S., et al. (2014). Risk factors for and perinatal outcomes of major depression during pregnancy :a population-based analysis during 2002–2010 in Finland. BMJ Open, 4:e004883. doi:10.1136/bmjopen-2014-004883.

  • Rautio, N., Kautiainen, H., Koponen, H., et al. (2013)Financial satisfaction and its relationship to depressive symptoms in middle-aged and older adults: results from the FIN-D2D survey. International Journal of Social Psychiatry, 59, 3, 239–246.

    Article  PubMed  Google Scholar 

  • Rouhe, H., Salmela-Aro, K., Halmesmäki, E., & Saisto, T. (2009) Fear of childbirth according to parity, gestational age, and obstetric history 2009., BJOG; 116(1):67–73.

    Article  CAS  PubMed  Google Scholar 

  • Rubertsson, C., Borjesson, K., Berglund, A., Josefsson, A., & Sydsjo, G. (2011) The Swedish validation of Edinburgh Postnatal Depression Scale (EPDS) during pregnancy. Nordic Journal of Psychiatry, 65(6), 414–418.

    Article  PubMed  Google Scholar 

  • Schytt, E., Hildingsson, I (2011). Physical and emotional self-rated health among Swedish women and men during pregnancy and the first year of parenthood. Sexual Reproductive Healthcare, 2(2):57–64.

    Article  PubMed  Google Scholar 

  • Setse, R., Grogan, R., Pham, L., Cooper, L. A., Strobino D., & Powe N. (2009). Longitudinal study of depressive symptoms and health-related quality of life during pregnancy and after delivery: the Health Status in Pregnancy (HIP) study. Maternal and Child Health Journal, 13(5), 577–587.

    Article  PubMed  Google Scholar 

  • Sintonen, H. (2001). The 15D instrument of health-related quality of life: properties and applications. Annals of Medicine, 33, 328–336. http://www.15d-instrument.net

  • STAT Official Statistics of Finland (OSF): Educational structure of population [e-publication].ISSN = 2242–2919. 2013, Appendix table 1. Population aged 15 or over by level of education and gender 2013. Helsinki: Statistics Finland. http://www.stat.fi/til/vkour/2013/vkour_2013_2014-1106_tau_001_en.html.

  • Stuart-Parrigon, Stuart (2014). perinatal depression: an update and overview. Current Psychiatry Reports, 16, 468.

    Article  PubMed  PubMed Central  Google Scholar 

  • The World Health Organization (1995). Quality of Life assessment (WHOQOL): position paper from the World Health Organization. Social Science Medicine, 41:1403–1409.

    Article  Google Scholar 

Download references

Acknowledgements

Women attending the study.

Funding

Funding from Helsinki University Hospital and Yrjö Jahnsson Foundation.

Author Contributions

NS: Planning, carrying out, analysing, interpreting, and writing the work. SBK: Planning, carrying out, analysing, and writing the work. BSL: Carrying out, analysing, and writing the work. JGE: interpreting and writing the work. HK: statistical analysis, interpreting and writing the work. RPR: Planning, carrying out, analysing, interpreting and writing the work.

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Authors and Affiliations

  1. Department of Obstetrics and Gynecology, Helsinki University Central Hospital, Helsinki, Finland

    Niina Sahrakorpi & Saila B. Koivusalo

  2. Department of General Practice and Primary Health Care, University of Helsinki and Helsinki University Hospital, Helsinki, Finland

    Johan G. Eriksson & Hannu Kautiainen

  3. Folkhälsan Research Centre, University of Helsinki, Helsinki, Finland

    Johan G. Eriksson

  4. Department of Obstetrics and Gynecology, South-Karelia Central Hospital, Lappeenranta, Finland

    Beata Stach-Lempinen

  5. Department of Health and Social Management, University of Eastern Finland, Kuopio, Finland

    Risto P. Roine

  6. Group Administration, University of Helsinki and Helsinki University Hospital, Helsinki, Finland

    Risto P. Roine

  7. Women’s Clinic, HUS Women’s Hospital, HUCH, P.O. Box 140, 00029, Helsinki, Finland

    Niina Sahrakorpi & Saila B. Koivusalo

Authors
  1. Niina Sahrakorpi
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  2. Saila B. Koivusalo
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  3. Johan G. Eriksson
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  4. Hannu Kautiainen
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  5. Beata Stach-Lempinen
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  6. Risto P. Roine
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Corresponding author

Correspondence to Niina Sahrakorpi.

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Conflict of interest

None of the authors have any conflicts of interest.

Ethical Approval

The study received ethics approval from the Helsinki University Hospital (Women’s, Children’s and Psychiatrics Ethical Committee), date of approval 03.03.2011 and the reference number 75/13/03/03/2011.

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Sahrakorpi, N., Koivusalo, S.B., Eriksson, J.G. et al. Perceived Financial Satisfaction, Health Related Quality of Life and depressive Symptoms in Early Pregnancy. Matern Child Health J 21, 1493–1499 (2017). https://doi.org/10.1007/s10995-017-2271-6

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  • DOI: https://doi.org/10.1007/s10995-017-2271-6

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